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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Q S_ 12q C 2 phone Contact for Permitting 8131 <br /> Owner's Name- GYA) �CxI LC C- '+ Owner Phone Number: • r �� "�U�6 <br /> Owner's Address ,'Ol 4" f a 1 bo de c �Z� Owner-P,hone:Number•• <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address nn,, .. <br /> JOB ADDRESS q S C Rv h L L L 5"Y 2 LOT# C� <br /> SUBDIVISION-. F 7 PARCEL.ID# l - 26- Z -00\O - D�5 G'd as'1.0- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK,PROPOSED ,e -NEW:CONSTR R ADD/ALT = SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q.: COMM Q OTHER. <br /> TYPE OF CONSTRUCTION.- 0 BLOCK Q- FRAME _ STEEL = <br /> DESCRIPTION•OF WORK <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING`• $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q. W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL $� '1 t� VALUATION OF MECHANICAL INSTALLATION I <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ` 'FLOOD'ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE -REGISTERED Y/:N: FEE CURREN Y/.N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N <br /> Address License# <br /> -PLUMBER COMPANY' <br /> -'SIGNATURE REGISTERED Y/'N FEE CURREI, <br /> Address License# <br /> MECHANICAL COMPANY �Y6 �L \� C t _So lu f f�'S' I►1 <br /> SIGNATURE PAS' REGISTERED, Y"/ N FEE CURREK Y/N <br /> Address. Z.1C,21 W FJJ �(A. lZ v �,LvC(,i cWvc �(�L 360 ? License# C Rc, ZO t l <br /> OTHER- COMPANY. <br /> SIGNATURE REGISTERED Y/ N FEE.CURREN Y/N <br /> Address License#• <br /> RESIDENTIAL Attach(2)Plot Plans;:(2),sets of Building Plans;.(l)set of Energy:Forms;R- WO- .Perm it for new construction, <br /> Minimum ten(10)working days'after submittal•date."Required onsite;Construction Plans,IStormwater Plans w/Silt Fence-installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete set§of Building Plans,plus,a Life•Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10):working days after submittal date. Required.onsite,Construction Plans;Stormwatee Plans.w/Silt Fence,installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets•.of Engineered Plans. <br /> ""PROPERlY.SURVEY,required for all NEW construction.' <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement is required.::_(A/C,upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for M owner)would.be someone with notarized-letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy-of.contract required) <br /> Reroofs if shingles Sewers.;.".'­'., Service Upgrades A/C Fences-'(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />